Tooth Ache and Gum Ache

 

Toothache,…… is one of the commonest causes of visiting a dentist and at Bayswater Dental Clinic we are happy to see and assist you to relieve the pain no want what the cause is.

We have an experienced and skilled team to offer excellent care
Routinely we treat patients in our emergency slots for relive of pain
Available Monday to Saturday 9:00 am to 8:30 pm

There are many different causes for toothache. They can be categorized into two forms of short lasting pains or long lasting pains.
What are the causes of short lasting toothache?
When we are taking about short lasting toothache, we are talking about a discomfort or pain that last in the matters of few seconds. They are transient and quickly disappear with no persistence of continuity. Some more common example of these types of pain can be listed as;

  • – Sensitivity related pain to cold mostly or touch. You can get a short sharp discomfort that as soon as the cause of it is removed, the discomfort stops.
  • – Another example can be cracked tooth or cusps of the teeth. A short sharp pain starts that can be severe but as soon as you stop biting, the pain stops.
  • – Pain or sensitivity due to early stages of decay in a tooth. Usually hot or cold and sweets can cause the sensation. This is also referred to as reversible pulpitis. In these cases decay and infection has not yet reached the nerve house of the tooth (pulp) and can be fixed by fillings.

What are the causes of long lasting and more severe toothaches?
The list of these causes is almost endless. Some of the most common causes that causes pains lasting in orders of few minutes to constant pains can be listed said;

  • – When decay has reached the nerve house of the tooth or pulp, It can cause a server acute constant pain with varying intensity and a throbbing pain. A common symptoms is that it interrupts sleep and wakes you up when sleep. This is because the infection is affecting the pulp, causing inflammation and swelling in it and hence the severe pain and throbbing. Sometimes the tooth can be very painful to touch. To relieve the pain effectively, only two options are available. One is to open and drain the tooth, known as pulp extirpation which is part of root canal treatment or consider removing the tooth by extracting it. It is always advisable to save a tooth that is possible to restore. Extraction is advisable when it is not possible to effectively restore the tooth. However final decision is always made by the patient.
  • – Pain as the result of chronic infection. The causes for this are variable. Sometimes if one can tolerate the initial acute pains, and this is a big if, eventually the pulp of the tooth loses its vitality and becomes necrotic. The infection can then further travel down the root and spread to the bone and tissues around the root of the tooth. This can cause again sever pain, swelling and pain on biting or touching the tooth. This type of pain can result to formation of abscesses or even a cyst around the root in the jaw bone if left untreated for long. The solution for this type of infections are root canals treatments or extraction.
  • – Pain associated with partially erupted or impacted wisdom teeth. In many cases there is not enough space in the jaw bone to accommodate the wisdom teeth that erupts last in the mouth. They can be impacted against another tooth or partially have gone through the gum. Build of food derbies and bacteria can cause infection and inflammation around the tooth, otherwise known as pericoronitis. If these infections keep happening and repeating, then it may be advisable to remove the wisdom tooth. Also the impacted wisdom teeth have the potential of damaging the teeth in the front or causing crowing by pushing the teeth in front of the forward. In these cases also it is advisable to have them removed. All these suggestions however will need clinical assessment by the professionals first.

Causes of the pain with the gum

Again there are numerous possible causes for pain that is associated with the gum. Some of the more common causes can be listed as;

  • – Pain and swelling associated with the gum due to gum disease or periodontal disease. In periodontal disease there is an irreversible loss of bone loss around the root of the teeth that gradually causes tooth getting loose or wobbly. The loss of bone create what is know as pockets around the root of the teeth allowing build up of bacteria, derbies and plaque or calculus. They can cause pain and swelling with the gum or in more severe cases where a lost of bone is lost to the end of the tooth root can cause infection in the tooth nerve house. There can be formation of abscesses and cysts around the root of these teeth in chronic forms and when they are not treated early.
  • – Another form of severe gum pain can be formation of ulcers on the gum and other part of the mouth soft tissues. They are usually stress related and they are more common when one is feels run down. It needs assessment by professional and local treatment. They are expected to heal within 3 weeks. If not need further assessment.
  • – Acute Necrotising Ulcerative Gum condition (ANUG) is another form of gum condition that causes severe pain. It is usually seen in the front of the mouth and causes irreversible damage and loss of the papillae (the triangular shape gum that fills the spaces between the teeth). It is very much stress related and is more common in people that have a lot of plaque and calculus build ups on the teeth and are smokers. The loss of the gum results in formation of a space between the teeth, known as black triangles, and is irreversible. Urgent assessment and treatment is needed by the professionals.

Here we have listed some the most common causes of toothache and gum aches. This is not comprehensive list and in all cases assessment by Dental professionals are needed for a correct diagnosis.